Loop Diuretics · Pharmacology

Loop diuretics can lead to hyperuricemia and potentially precipitate a gout attack because they:

  1. Increase the synthesis of uric acid in the liver
  2. Compete with uric acid for the organic acid transporter
  3. Degrade the enzyme uricase
  4. Stimulate the reabsorption of uric acid in the distal tubule
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Correct answer: Compete with uric acid for the organic acid transporter

Loop diuretics are secreted into the proximal tubule by the organic acid secretory system. They compete with uric acid for this transporter and cause volume depletion, which enhances proximal tubule reabsorption of uric acid.

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